Active NPI 1326294299 Individual Practitioner Male Practitioner

Dr. Kenneth John Lingenfelter , DO

Orthopaedic Surgery • Newark, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Lingenfelter, DO is a certified Orthopaedic Surgery practicing in Newark, DE. With approximately 18 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2008, Dr. Lingenfelter delivers high-quality medical care to the local community at 4102 OGLETOWN STANTON RD STE B.

Dr. Lingenfelter is affiliated with First State Orthopaedics Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views, x-ray of lower and sacral spine, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4102 Ogletown Stanton Rd Ste B

Newark, DE 19713

Telephone 3027312888

Associated Practice Facility / Clinic

🏢 Spine Care Delaware, Llc Facility NPI 1407836315

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Newark, DE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -0.2 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

16 Specialists

Practicing in Newark, DE (81 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lingenfelter (18 Years) 18 Yrs

Newark Specialty Average (18.2 Years) 18.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	368	195	$173.00	$120.65
72110 X-ray of lower and sacral spine, minimum of 4 views	156	144	$228.00	$49.51
72100 X-ray of lower and sacral spine, 2-3 views	79	47	$159.00	$37.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	40	$210.00	$163.90
72050 X-ray of upper spine, 4 or 5 views	42	41	$215.00	$50.37
99213 Established patient office or other outpatient visit, typically 15 minutes	41	38	$136.00	$87.61
72040 X-ray of upper spine, 2-3 views	34	18	$158.00	$36.28
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$4845.00	$655.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$265.00	$160.90
61783 Computer-assisted spinal procedure	13	13	$513.00	$219.96
22612 Fusion of spine in lower back	12	12	$8012.00	$1479.19
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$7306.00	$1071.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	203	$173.00	$126.06
72110 X-ray of lower and sacral spine, minimum of 4 views	131	127	$228.00	$52.05
72100 X-ray of lower and sacral spine, 2-3 views	95	55	$159.00	$40.54
72050 X-ray of upper spine, 4 or 5 views	42	39	$215.00	$54.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	32	$210.00	$179.13
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	34	23	$800.00	$256.72
72040 X-ray of upper spine, 2-3 views	31	16	$158.00	$40.22
22614 Fusion of additional segment of spine	31	15	$2464.00	$389.03
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$136.00	$90.44
22612 Fusion of spine in lower back	25	25	$8012.00	$1591.94
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$7306.00	$984.25
63048 Partial removal of spine bone with release of spinal cord and/or nerves	18	14	$2750.00	$209.27
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	16	16	$9000.00	$766.50
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$4845.00	$723.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$265.00	$166.66
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$3475.00	$753.93
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$8429.00	$759.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	556	261	$173.00	$128.38
72110 X-ray of lower and sacral spine, minimum of 4 views	161	154	$228.00	$53.79
72100 X-ray of lower and sacral spine, 2-3 views	153	76	$159.00	$41.87
72040 X-ray of upper spine, 2-3 views	72	33	$158.00	$41.40
22614 Fusion of additional segment of spine	59	23	$2464.00	$396.73
63048 Partial removal of spine bone with release of spinal cord and/or nerves	54	24	$2750.00	$214.57
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	46	27	$836.96	$262.24
72050 X-ray of upper spine, 4 or 5 views	45	45	$215.00	$55.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$265.00	$171.23
22612 Fusion of spine in lower back	24	24	$8012.00	$1624.01
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	21	$7306.00	$1087.22
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	20	20	$9000.00	$861.74
22842 Placement of stabilizing device to back, 3-6 spine bone segments	19	19	$8429.00	$774.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	15	11	$46.67	$1.12
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$4845.00	$739.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	758	320	$173.00	$131.54
72100 X-ray of lower and sacral spine, 2-3 views	246	123	$159.00	$41.47
72110 X-ray of lower and sacral spine, minimum of 4 views	192	187	$228.00	$52.94
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	99	59	$900.00	$266.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$265.00	$172.58
22614 Fusion of additional segment of spine	55	33	$2464.00	$403.06
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	54	49	$9000.00	$889.22
22612 Fusion of spine in lower back	50	48	$8012.00	$1636.84
72040 X-ray of upper spine, 2-3 views	47	20	$158.00	$41.11
72050 X-ray of upper spine, 4 or 5 views	45	45	$215.00	$55.09
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	42	41	$7306.00	$1059.49
63048 Partial removal of spine bone with release of spinal cord and/or nerves	42	30	$2750.00	$217.63
22845 Placement of stabilizing device to front, 2-3 spine bone segments	34	32	$4845.00	$749.79
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	33	29	$2934.00	$336.25
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$136.00	$93.96
22840 Placement of stabilizing device to back of 1 spine bone in neck	26	26	$9423.00	$782.14
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	23	$8429.00	$785.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$210.00	$178.82
20939 Harvest of bone marrow for spine surgery graft	19	19	$245.00	$71.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	18	13	$39.00	$1.26
99441 Telephone medical discussion with physician, 5-10 minutes	17	12	$72.00	$56.67
20937 Harvest of bone fragment for spine bone graft	17	17	$2173.00	$172.01
22830 Exploration of spinal fusion	12	12	$3800.00	$582.77
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$15341.00	$1764.25
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	12	12	$7500.00	$1014.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	535	252	$173.00	$109.97
72100 X-ray of lower and sacral spine, 2-3 views	135	77	$159.00	$38.96
72110 X-ray of lower and sacral spine, minimum of 4 views	132	128	$228.00	$49.90
99213 Established patient office or other outpatient visit, typically 15 minutes	74	66	$136.00	$76.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$184.00	$110.61
72050 X-ray of upper spine, 4 or 5 views	42	42	$215.00	$52.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	33	$210.00	$146.97
72040 X-ray of upper spine, 2-3 views	30	16	$158.00	$39.13
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	29	20	$900.00	$274.58
22612 Fusion of spine in lower back	20	20	$8012.00	$1624.27
22614 Fusion of additional segment of spine	17	11	$2464.00	$414.88
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	16	16	$9000.00	$911.72
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$7306.00	$1077.25
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$9423.00	$805.20
99441 Telephone medical discussion with physician, 5-10 minutes	14	11	$72.00	$46.96
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$4845.00	$770.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	387	216	$166.30	$110.84
72110 X-ray of lower and sacral spine, minimum of 4 views	167	147	$213.87	$52.34
72100 X-ray of lower and sacral spine, 2-3 views	142	85	$144.04	$37.70
99213 Established patient office or other outpatient visit, typically 15 minutes	85	77	$132.29	$76.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	55	$204.22	$149.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$184.00	$110.17
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	44	22	$18.48	$1.63
72050 X-ray of upper spine, 4 or 5 views	40	34	$209.85	$51.42
63048 Partial removal of spine bone with release of spinal cord and/or nerves	39	22	$3000.00	$230.08
72040 X-ray of upper spine, 2-3 views	36	22	$140.67	$37.66
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	29	29	$6725.45	$794.80
72070 X-ray of middle spine, 2 views	23	19	$142.35	$35.19
22614 Fusion of additional segment of spine	22	15	$1982.27	$425.41
72148 MRI scan of lower spinal canal	21	20	$199.05	$78.90
20939 Harvest of bone marrow for spine surgery graft	21	21	$236.43	$70.08
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	19	15	$921.05	$277.43
20937 Harvest of bone fragment for spine bone graft	18	18	$1845.67	$180.22
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$8720.44	$815.87
22612 Fusion of spine in lower back	18	18	$7560.67	$1610.44
20610 Aspiration and/or injection of fluid from large joint	17	13	$192.88	$66.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$249.57	$169.20
72131 CT scan of lower spine	14	13	$123.00	$51.00
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$4986.75	$779.02
61783 Computer-assisted spinal procedure	11	11	$513.00	$248.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	424	195	$137.00	$107.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	347	94	$10.00	$1.80
72110 X-ray of lower and sacral spine, minimum of 4 views	200	178	$110.00	$48.47
72148 MRI scan of lower spinal canal	189	154	$199.52	$73.53
72100 X-ray of lower and sacral spine, 2-3 views	166	83	$100.00	$34.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	114	91	$184.00	$145.06
20552 Injections of trigger points in 1 or 2 muscles	111	76	$110.00	$53.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$211.00	$165.04
72131 CT scan of lower spine	79	71	$123.00	$48.41
72050 X-ray of upper spine, 4 or 5 views	73	69	$112.00	$44.89
99213 Established patient office or other outpatient visit, typically 15 minutes	73	60	$115.00	$73.02
72141 MRI scan of upper spinal canal	63	58	$190.00	$73.56
72040 X-ray of upper spine, 2-3 views	58	23	$80.00	$32.80
63048 Partial removal of spine bone with release of spinal cord and/or nerves	51	21	$3500.00	$224.62
20610 Aspiration and/or injection of fluid from large joint	48	34	$183.75	$69.38
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	42	28	$1100.00	$255.01
20939 Harvest of bone marrow for spine surgery graft	41	36	$200.00	$69.52
72157 Mri scan of middle spinal canal before and after contrast	40	37	$280.00	$113.96
72070 X-ray of middle spine, 2 views	39	26	$70.00	$32.50
22614 Fusion of additional segment of spine	39	15	$950.00	$418.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$136.00	$109.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$264.00	$201.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	24	$261.00	$202.18
76000 Imaging guidance for procedure, 60 minutes or less	26	21	$88.00	$8.88
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	25	23	$4500.00	$645.79
73030 X-ray of shoulder, minimum of 2 views	25	21	$70.00	$28.06
22842 Placement of stabilizing device to back, 3-6 spine bone segments	24	22	$3100.00	$816.30
73562 X-ray of knee, 3 views	22	14	$75.00	$33.69
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$2800.00	$762.16
72125 Ct scan of upper spine without contrast	13	13	$123.00	$51.86
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	13	12	$4000.00	$1630.55
22612 Fusion of spine in lower back	12	12	$3950.00	$1608.16
20937 Harvest of bone fragment for spine bone graft	12	12	$700.00	$178.49
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$2266.00	$974.62
72130 CT scan of middle spine before and after contrast	11	11	$125.00	$61.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	254	100	$10.00	$1.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	163	$137.00	$106.79
72110 X-ray of lower and sacral spine, minimum of 4 views	173	164	$109.36	$48.25
72148 MRI scan of lower spinal canal	161	142	$192.30	$74.43
72100 X-ray of lower and sacral spine, 2-3 views	123	73	$99.76	$34.00
20552 Injections of trigger points in 1 or 2 muscles	113	81	$110.00	$54.63
99213 Established patient office or other outpatient visit, typically 15 minutes	74	60	$115.00	$73.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	60	$184.00	$143.50
22614 Fusion of additional segment of spine	58	23	$950.00	$413.55
63048 Partial removal of spine bone with release of spinal cord and/or nerves	57	30	$3434.21	$220.03
76000 Imaging guidance for procedure, 60 minutes or less	55	46	$88.00	$8.77
72141 MRI scan of upper spinal canal	51	46	$190.00	$72.90
72050 X-ray of upper spine, 4 or 5 views	50	49	$105.60	$46.07
72040 X-ray of upper spine, 2-3 views	47	26	$75.11	$32.11
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	44	26	$1100.00	$279.84
38220 Aspiration of bone marrow sample for diagnosis	40	31	$140.00	$31.19
20610 Aspiration and/or injection of fluid from large joint	37	23	$174.81	$66.83
72131 CT scan of lower spine	35	32	$123.00	$48.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$136.00	$109.32
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	33	33	$4436.36	$766.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$211.00	$164.99
22842 Placement of stabilizing device to back, 3-6 spine bone segments	21	20	$3100.00	$785.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$75.00	$44.05
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$140.00	$102.01
73562 X-ray of knee, 3 views	16	11	$75.00	$36.46
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$5520.00	$1969.05
72157 Mri scan of middle spinal canal before and after contrast	14	14	$280.00	$115.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$264.00	$208.07
22845 Placement of stabilizing device to front, 2-3 spine bone segments	11	11	$2800.00	$784.08

Medical Specialties & State Licenses

CMS Verified: 2022-03-30

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License DE C2-0012983

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License PA OS017073

Hospital & Practice Group Affiliations

First State Orthopaedics Pa

4102 Stanton Ogletown Rd, Newark, DE 197134183

Phone: 3027312888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Gianna Pomykacz , PA

Physician Assistant

NPI 1013631142

Physician Assistant

Todd Miller , PA-C

Physician Assistant - Surgical

NPI 1023098944

Physician Assistant (Certified)

Bonnie Oconnor , PA-C

Physician Assistant - Surgical

NPI 1033199948

Physician Assistant (Certified)

Paula Smith , PA-C

Physician Assistant

NPI 1043281629

Physician Assistant (Certified)

Diane Hochstuhl , APN

Nurse Practitioner

NPI 1043302912

Advanced Practice Nurse

Braxton Childers , PA

Physician Assistant

NPI 1043791668

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location February 07, 2019

Registered at 4102 OGLETOWN STANTON RD STE B, NEWARK, DE 19713 (Tel: 3027312888)

📍

Updated Business Mailing Address February 07, 2019

Registered at 211 EXECUTIVE DR STE 11, NEWARK, DE 197023358 (Tel: 3027312888)

✅

NPI Profile Active June 15, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2015

Registered at 727 WELSH RD, SUITE 103, HUNTINGDON VALLEY, PA 190066310 (Tel: 2159477550)

📍

Updated Business Mailing Address June 15, 2015

Registered at 727 WELSH RD, SUITE 103, HUNTINGDON VALLEY, PA 190066310 (Tel: 2159477550)

👤

Provider Name / Credentials Updated June 15, 2015

Recorded as KENNETH LINGENFELTER, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2015

Orthopaedic Surgery (License #OS017073 in PA)

🟢

Initial NPI Registration & Enumeration August 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1326294299

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 12, 2008

Last Update: March 30, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

211 Executive Dr Ste 11

Newark, DE 197023358

Phone: 3027312888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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